Individual provider · Type 1 NPI
Roger James Gregory, ICADC, ICCS
Addiction (Substance Use Disorder) Counselor · Detroit, MI
NPI number
1861510679
Active
Practice location
9605 West Grand River, Nardin Park Recovery Center
Detroit, MI 48204
Fax (313) 867-8040
Mailing address
9605 West Grand River Avenue
Detroit, MI 48204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1861510679
Roger James Gregory, ICADC, ICCS's National Provider Identifier is 1861510679, issued on Mar 27, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Jun 18, 2014.